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Trial registered on ANZCTR
Registration number
ACTRN12607000397415
Ethics application status
Approved
Date submitted
24/07/2007
Date registered
2/08/2007
Date last updated
2/08/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
Beating the Blues before Birth
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Scientific title
Beating the Blues before Birth: Evaluating an Antenatal Depression Treatment Model as a Public Health Priority
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Universal Trial Number (UTN)
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Trial acronym
BBB
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Antenatal depression
2190
0
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Anxiety
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Social Support
2192
0
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Condition category
Condition code
Mental Health
2285
2285
0
0
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Depression
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Mental Health
2286
2286
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0
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Anxiety
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Reproductive Health and Childbirth
2287
2287
0
0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention group is allocated to 8 sessions of a cognitive behavioural therapy group program and networked with health professionals. Each weekly session runs for an hour and a half and it is expected that women attend every session. Women in this condition will be case-managed by a midwife/health professional and referred to other agencies/services as necessary, as normally happens where specialised programs are not available.
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Intervention code [1]
1906
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Treatment: Other
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Comparator / control treatment
Control group receive routine primary care and networking with health professionals over an 8 week period.
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Control group
Active
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Outcomes
Primary outcome [1]
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Beck Depression Inventory - Second Edition
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Assessment method [1]
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Timepoint [1]
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At entry to trial (20-30 weeks of pregnancy) and post treatment.
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Primary outcome [2]
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Beck Anxiety Inventory
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Assessment method [2]
3177
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Timepoint [2]
3177
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At entry to trial (20-30 weeks of pregnancy) and post treatment.
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Primary outcome [3]
3178
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Social provisions scale
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Assessment method [3]
3178
0
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Timepoint [3]
3178
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At entry to trial (20-30 weeks of pregnancy) and post treatment.
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Secondary outcome [1]
5299
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Beck Depression Inventory - Second Edition
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Assessment method [1]
5299
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Timepoint [1]
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At 3, 6 & 12 months follow-up.
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Secondary outcome [2]
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Beck Anxiety Inventory
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Assessment method [2]
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Timepoint [2]
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At 3, 6 & 12 months follow-up.
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Secondary outcome [3]
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Social Provisions Scale
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Assessment method [3]
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Timepoint [3]
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At 3, 6 & 12 months follow-up.
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Secondary outcome [4]
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Information about birth & services used
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Assessment method [4]
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Timepoint [4]
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At 6 month follow-up.
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Eligibility
Key inclusion criteria
Participants will be women, 20-30 weeks pregnant, 18 years or over with a DSM-IV diagnosis of minor or major depression.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women who are unable to understand written english; major health problem; concurrent major psychiatric disorder affecting competence to give informed consent (e.g., psychotic depression); risk requiring crisis management; and participation in other psychological programs.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Centralised administration of a coded, double-blinded pre-generated allocation schedule.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A variable-length permuted blocks, computer generated random sequence.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
5/07/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Funding & Sponsors
Funding source category [1]
2451
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Charities/Societies/Foundations
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Name [1]
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Australian Rotary Health Research Fund
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Address [1]
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0
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
Parent-Infant Research InstituteAustin Health
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Address
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Country
Australia
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Secondary sponsor category [1]
2223
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Hospital
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Name [1]
2223
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The Northern Hospital, Melbourne
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Address [1]
2223
0
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Country [1]
2223
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health
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Ethics committee address [1]
4305
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Ethics committee country [1]
4305
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Australia
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Date submitted for ethics approval [1]
4305
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Approval date [1]
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17/05/2007
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Ethics approval number [1]
4305
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H2007/02835
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Ethics committee name [2]
4306
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Northern Hospital
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Ethics committee address [2]
4306
0
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Ethics committee country [2]
4306
0
Australia
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Date submitted for ethics approval [2]
4306
0
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Approval date [2]
4306
0
27/03/2007
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Ethics approval number [2]
4306
0
15/07
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Summary
Brief summary
Antenatal depression (AND) is at least as prevalent as postnatal depression and is an important risk factor for postnatal depression. Depression has major implications for women's well-being and for the health and well-being of their babies. Despite more than 1 in 10 women being affected by a clinical depression in pregnancy, treatment following identification is not part of routine antenatal care services. This study will test whether an 8 session cognitive behavioural group therapy program will reduce antenatal depression, anxiety and increase health service uptake compared to pregnant women not receiving the program. 100 women with a clinical diagnosis for depression will be randomised to either intervention or control group. Participants will be assessed by self-administered questionnaires pre and post treatment and at 3,6 and 12 month follow-up time points.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Christopher Holt
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Address
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Parent-Infant Research Institute (PIRI) Department of Clinical & Health Psychology Heidelberg Repatriation Hospital
Austin Health
300 Waterdale Rd
Heidelberg West VIC 3081
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Country
11095
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Australia
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Phone
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+61 (03) 9496 4496
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Christopher Holt
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Address
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Parent-Infant Research Institute (PIRI) Department of Clinical & Health Psychology Heidelberg Repatriation Hospital
Austin Health
300 Waterdale Rd
Heidelberg West VIC 3081
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Country
2023
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Australia
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Phone
2023
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+61 (03) 9496 4496
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Fax
2023
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Email
2023
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes.
2019
https://dx.doi.org/10.1177/2050313X19841463
Embase
Exploring the effect of antenatal depression treatment on children's epigenetic profiles: Findings from a pilot randomized controlled trial.
2019
https://dx.doi.org/10.1186/s13148-019-0616-2
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Social support-a protective factor for depressed perinatal women?.
2019
https://dx.doi.org/10.3390/ijerph16081426
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Cognitive Behavioral Therapy for Antenatal Depression in a Pilot Randomized Controlled Trial and Effects on Neurobiological, Behavioral and Cognitive Outcomes in Offspring 3-7 Years Postpartum: A Perspective Article on Study Findings, Limitations and Future Aims.
2020
https://dx.doi.org/10.3389/fpsyt.2020.00034
N.B. These documents automatically identified may not have been verified by the study sponsor.
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